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Implementation of a Perinatal Mood and Anxiety Disorder Program
Transcript of Implementation of a Perinatal Mood and Anxiety Disorder Program
Northern Arizona University
April 11, 2011 How did I get here? Edie's Story What are Perinatal Mood and Anxiety Disorders? Why is this so important? #1 COMPLICATION OF CHILDBIRTH 1 in 5 (15-20%)of women will experience a PMAD PMADs are the must underdiagnosed, underreported, and undertreated complication of childbirth Baby Blues Occurs in 75-90% of mothers
May persist up to 3 weeks Depression Anxiety Disorders Postpartum Psychosis 10-20% of new moms
50-80% in previous PPD Panic Disorder (up to 10% of new moms) PTSD (1.5-5.6% of new moms) Obsessive-Compulsive Disorder (3-5% of new moms) 1-2 of every 1,000 births Assembeled an interdisciplinary team Assessed current state Reviewed Best Practice and Literature Program Implementation 2-day conference PMAD Screening Referral and Support Group Quantitative/Qualitative Pre-test and Post-test Implications Nurses can be change agents Education is necessary at multiple points of contact Additional points of screening would capture more mothers "PMADs are not just the mother's problem; they are not just the father's problem. PMADs are the communities problem. We must begin to treat these disorders with a community approach, each supporter playing his or her part, if we are to ease the suffering of our pregnant and postpartum families (Hibbert, 2010, p.26)" (personal communication, 2009) (O'hara, 2009) (O'Hara, 2009) Program
Development Registered Nurses Association of Ontario (2005) British Colombia Perinatal Health Program (2003) Beyond Blue
Natioinal Australia Depression Initiative
(Buist, et.al., 2007) National Institutes of Mental Health (2008) National Health Service Boards in Scotland (Alder, et.al., 2008) Edinburgh Postnatal Depression Scale
(Cox, Holden, Sagovsky, 1987) No cost
low subject burden
validated in multiple languages Family Education Brochures Overview of PMAD symptoms
Preventative self help measures
Advice for partners
List of Resources References
Alder, E.M., Reid, M., Sharp, L.J., Cantwell, R., Robertson, K., & Kearney, E. (2008). Policy and practice management of postnatal depression in Scotland. Archives of Women's Mental Health, 11, 213-219. British Columbia Perinatal Health Program. (20030. Retrieved April 28, 2011 from http://www.bcrcp.xplorex.com/page 178.htm Buist, A., Ellwood, D., Brooks, J., Milgrom, J., Hayes, B. A., Sved-Williams, A., Barnett, B. (2007). National program for depression associated with childbirth: the Australian experience. Best Practice & Research Clinical Obstretrics and Gynaecology, 21(2), 193-206.
Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150, 782-786. Gaynes, B. N., Gavin, N., Meltzer-Brody, S., Lohr, K. N., Swinson, T., Gartlehner, G.,...Miller, W. C. (2005). Perinatal Depression: Prevalence, Screening Accuracy, and Screening Outcomes. Evidence report/technology assessment No. 119 (AHRQ Publication No. 05-E006-2). Rockville, MD: Agency for Healthcare Research and Quality.
Hibbert, C. (2010). Perinatal mood disorders: Shedding light on the dark side of the womb. Paper presented at the Arizona Postpartum Wellness Coalition. Prescott, AZ.
O'Hara, M. W.(2009). Postpartum depression: What we know. Journal of Clinical Psychiatry, 65(12), 1258-1269.